Recognizing the devastating social, economic and public health impact of NCDs, in September 2011, world leaders adopted a political declaration containing strong commitments to address the global burden of NCDs (1). World Health Organization was tasked with the development of the WHO Global action plan for prevention and control of noncommunicable diseases 2013–2020, including global targets and a global monitoring framework. The Global NCD Action Plan and the global targets were adopted by the World Health Assembly in 2013 (2 ). The nine voluntary global NCD targets underscore the importance of prioritizing country action to reduce harmful use of alcohol, insufficient physical activity, salt/sodium intake, tobacco use and hypertension; halt the rise of obesity and diabetes; and improve coverage of treatment for prevention of heart attacks and strokes and access to basic technologies and essential medicines. Country efforts in all these areas are essential to attain the overarching target, which is a 25% reduction of premature mortality from the four major NCDs by 2025. The Government of Sri Lanka has provide strategic leadership in mainstreaming NCDs in the development agenda. Accordingly, the Ministry of Health in close collaboration with relevant Ministries and other stakeholders developed the National Multisectoral Action Plan for the Prevention and Control of Noncommunicable Diseases 2016- 2020 (3) underpinned by a set of national targets consistent with global NCD targets to be attained by 2025.
National NCD target 1: A 25% relative reduction in the overall mortality from cardiovascular diseases, cancer, diabetes, or chronic respiratory diseases
National NCD target 2: At least 10% relative reduction in the harmful 48 use of alcohol.
National NCD target 3: A 10% relative reduction in prevalence of insufficient physical activity.
National NCD target 4: A 30% relative reduction in mean population intake of salt/sodium. National
NCD target 5: A 30% relative reduction in prevalence of current tobacco use in persons aged 15+ years.
National NCD target 6: A 25% relative reduction in the prevalence of raised blood pressure.
National NCD target 7: Halt the rise in diabetes and obesity.
National NCD target 8: At least 50% of eligible people receive drug therapy and counselling (including glycaemic control), to prevent heart attacks and strokes.
National NCD target 9: An 80% availability of the affordable basic technologies and essential medicines, including generics, required to treat major NCDs in both public and private facilities.
In addition, Sri Lanka adopted a tenth target to address household air pollution –a major health hazard in Sri Lanka, particularly for women and children - due to burning of solid biomass fuel and secondhand smoke.
Source: Ministry of Health